Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 03257 | Date 25/11/2022 |
| Token No | SM/22-23/8526 02/05/2023 | Serial | 010 |
| Patient Name | Mr. BABLU KUMAR DEY | Contact No | 8585062135 |
| Address | 44 NEW MAHESH SERAMPORE 712203 | Age | 47 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||